Organization
ELITE SPORT THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNIL PULLUKAT D.C. (OWNER)
(847) 748-8804
Entity
Organization
Contact information
Practice address
495 CENTRAL AVE, NORTHFIELD, IL 60093-3044
(847) 748-8804
(847) 495-2162
Mailing address
495 CENTRAL AVE, NORTHFIELD, IL 60093-3044
(847) 748-8804
(847) 495-2162
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12469650
CAQH
IL
Enumeration date
07/06/2020
Last updated
01/25/2025
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